| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,135.00 | $9,402.00 | $13,463.00 | |
Aetna
| Professional | $13,753.37 | $13,753.37 | $13,753.37 | |
Anthem BCBS
| Facility | $2,097.00 | $8,010.00 | $36,529.00 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $2,904.00 | $6,111.00 | $9,245.00 |